Determination of the relationship between self-care agency and sleepiness in chronic hemodialysis patients

Kiskac, Nese; Rashidi, Mahruk; Cebeci, Egemen; Coban, Ilkay; Kiskac, Muharrem

doi:10.1590/1806-9282.20230423

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Revista da Associação Médica Brasileira

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ORIGINAL ARTICE • Rev. Assoc. Med. Bras. 69 (8) • 2023 • https://doi.org/10.1590/1806-9282.20230423 copy

Determination of the relationship between self-care agency and sleepiness in chronic hemodialysis patients

Authorship SCIMAGO INSTITUTIONS RANKINGS

SUMMARY

OBJECTIVE:

This study was conducted to determine the relationship between self-care agency and sleepiness in chronic hemodialysis patients.

METHODS:

The study was conducted with 75 patients with chronic renal failure in the hemodialysis unit of a training and research hospital in our country. In the descriptive study, the data were collected through a face-to-face questionnaire. The IBM SPSS Statistics 22.0 program was used to evaluate the data.

RESULTS:

It was determined that there was no significant relationship between self-care agency and sleepiness total scores in chronic hemodialysis patients (p>0.05) and a significant relationship between sleepiness and drug use compliance and mental status in female patients and between diet compliance and sleepiness in patients younger than 52 years of age (p<0.05).

CONCLUSION:

As a result, it was observed that there was no relationship between self-care agency and sleepiness in chronic hemodialysis patients. We think that working with a larger sample group can lead to clearer results.

KEYWORDS:
Hemodialysis; Sleep; Self-care

	n	%
Gender
Female	41	54.7
Male	34	45.3
Age (average) (years)	52.41±15.90
Marital status
Married	63	84
Single	12	16
Educational status
Illiterate	17	22.7
Literate	5	6.7
Primary school	29	38.7
Middle school	9	12
High school	12	16
Bachelor degree	3	4
Number of months they underwent dialysis	28.71±22.24

	Min-max points	Scale mean scores
Self-care agency sub-dimensions
Drug use	0-12	7.69±2.19
Diet	0-10	6.45±1.67
Self-monitoring	0-8	5.64±1.66
Hygienic care	0-8	6.37±1.46
Mental state	0-6	2.91±1.65
Self-care agency total	0-44	29.07±5.35
Sleepiness total	0-24	9.64±4.79

				Self-care agency scale sub-dimensions					Self-care agency scale total score
				Drug use	Diet	Self-monitoring	Hygienic care	Mental state	Self-care agency scale total score
Women		Sleepiness scale total score	r	-0.525	-0.110	-0.025	-0.139	0.343	-0.211
Women		Sleepiness scale total score	p	0.001	0.534	0.890	0.433	0.047	0.232
Men		Sleepiness scale total score	r	0.130	-0.282	-0.240	0.213	-0.279	-0.211
Men		Sleepiness scale total score	p	0.419	0.074	0.130	0.182	0.077	0.232
Age	≥52 years	Sleepiness scale total score	r	-0.104	-0.045	-0.066	-0.002	-0.109	-0.110
	≥52 years	Sleepiness scale total score	p	0.534	0.790	0.695	0.989	0.514	0.509
	<52 years	Sleepiness scale total score	r	-0.149	-0.380	-0.251	0.142	0.051	-0.212
	<52 years	Sleepiness scale total score	p	0.379	0.020	0.134	0.401	0.764	0.208
Months of starting dialysis	≥28	Sleepiness scale total score	r	-0.271	-0.212	-0.038	-0.039	0.028	-0.198
	≥28	Sleepiness scale total score	p	0.141	0.252	0.839	0.833	0.882	0.286
	<28	Sleepiness scale total score	r	-0.014	-0.194	-0.197	0.157	-0.059	-0.111
	<28	Sleepiness scale total score	p	0.927	0.206	0.200	0.309	0.706	0.472
In all patients		Sleepiness scale total score	r	-0.125	-0.214	-0.148	0.065	-0.035	-0.157

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E-mail: ramb@amb.org.br

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[1] *Corresponding author: muharremkiskac@gmail.com